E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) Mimicking COVID-19 Disease

Case Reports in Pulmonology
Jose A RodriguezJuan C Lemos-Ramirez

Abstract

Coronavirus 2 (SARS-CoV-2) is the virus associated with the coronavirus disease (COVID-19) causing a pandemic worldwide in 2020. There are other noninfectious diseases that can present exactly as COVID-19, and the management and approach are completely different, hence the importance of understanding and having a wide differential in patients presenting with similar characteristics. Case Report. A 23-year-old male, with a history of childhood asthma, presented to the Emergency Department in a hospital in south Florida in the USA with complaints of a 2-day duration of subjective fever, chills, dry cough, dyspnea, and myalgia. His vital signs were blood pressure 135/65 mmHg, temperature 39°C, pulse 134 bpm, respiratory rate 22 breaths per minute, and saturation of oxygen 96% in room air. Laboratory analysis was significant for white blood cells 15.3 × 103/μL, ALT 69 U/L, AST 66 U/L, ferritin 375.6 ng/mL, C-reactive protein 27.70 mg/dL, and procalcitonin 1.43 ng/mL. A respiratory pathogen panel (RPP) and a SARS-CoV-2 test were both negative. The patient was given empiric antibiotic treatment and hydroxychloroquine. Two more tests for SARS-CoV-2 were negative, and the patient reported that he smoked marijuana through an e-cigarette...Continue Reading

References

Sep 7, 2019·The New England Journal of Medicine·Jennifer E LaydenJonathan Meiman
Sep 13, 2019·MMWR. Morbidity and Mortality Weekly Report·Kevin DavidsonDaniel Fox
Oct 2, 2019·BMJ : British Medical Journal·Jeffrey E GottsRobert Tarran
Oct 2, 2019·American Journal of Respiratory and Critical Care Medicine·Georgios A TriantafyllouJared Chiarchiaro
Dec 11, 2019·The American Journal of Medicine·Sameer KhanijoAnnamaria Iakovou
Mar 12, 2020·JAMA : the Journal of the American Medical Association·Wenling WangWenjie Tan
Apr 23, 2020·JAMA : the Journal of the American Medical Association·Safiya RichardsonTheodoros P Zanos
Apr 23, 2020·The New England Journal of Medicine·Angela K WernerUNKNOWN Lung Injury Response Mortality Working Group
May 23, 2020·Chest·Andrea M Jonas, Rishi Raj
Jul 30, 2020·American Journal of Physiology. Lung Cellular and Molecular Physiology·Kielan Darcy McAlindenSukhwinder Singh Sohal
Sep 15, 2020·Expert Review of Respiratory Medicine·Purva AsraniSukhwinder Singh Sohal

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Citations

May 1, 2021·International Journal of Environmental Research and Public Health·Daniel Tzu-Hsuan Chen, Christina N Kyriakos
Aug 28, 2021·Journal of Personalized Medicine·Serafeim-Chrysovalantis KotoulasAthanasia Pataka

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Methods Mentioned

BETA
X-ray
PCR

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